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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2020

01-12-2020 | Laryngectomy | Research

Quality of life after total laryngectomy: impact of different vocal rehabilitation methods in a middle income country

Authors: F. G. R. Souza, I. C. Santos, A. Bergmann, L. C. S. Thuler, A. S. Freitas, E. Q. Freitas, F. L. Dias

Published in: Health and Quality of Life Outcomes | Issue 1/2020

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Abstract

Introduction

The impact of advanced laryngeal cancer and its extensive surgical treatments cause significant morbidity for these patients. Total laryngectomy impacts essential functions such as breathing, communication and swallowing, and may influence the quality of life as well as affecting the social life of laryngeal cancer patients.

Objective

Describe the quality of life and analyze the factors associated with the reduced quality of life in patients who have undergone total laryngectomy.

Method

Observational cross-sectional study was carried out to evaluate the quality of life of patients who had undergone total laryngectomy due to laryngeal cancer. The fourth version of the UW-QOL Quality of Life Assessment Questionnaire from Washington University, validated for Portuguese, was used.

Results

The study population was 95 patients, and the mean composite score of the QOL was 80.4. In the subjective domains the majority of the patients (38.9%) reported they felt much better at present compared to the month before being diagnosed with cancer. When questioned about how they evaluated their health-related quality of life, there was a predominance of those who considered it good (43.2%), and most considered they had a good quality of life (46.3%) considering personal well-being. The overall quality of life was considered good to excellent by 83.2% of the patients. Patients with tracheoesophageal prosthesis reported a better quality of life, compared to patients using an electrolarynx or esophageal voice.

Conclusion

The high mean value of the composite score for quality of life revealed that the patients assessed their quality of life positively. The absence of vocal emission was the only variable associated with a lower quality of life within the composite score according to the UW-QOL questionnaire.
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Metadata
Title
Quality of life after total laryngectomy: impact of different vocal rehabilitation methods in a middle income country
Authors
F. G. R. Souza
I. C. Santos
A. Bergmann
L. C. S. Thuler
A. S. Freitas
E. Q. Freitas
F. L. Dias
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2020
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-020-1281-z

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